Chronic Care Management RN Coordinator

Chronic Care Management RN Coordinator

Southwest Health

1 Positions

ID: 90655

Posted On 05/04/2026

Job Overview

Description

Requirements

• Requires a diploma or degree form an accredited school of nursing.

• One to two years’ experience in a clinic or hospital setting preferred.

• Must have knowledge of motivational interviewing, chronic care management, and quality initiatives within the primary care setting.

• Must have current and valid Registered Nurse License from the State of Wisconsin.

• Current Basic Life Support (BLS) certification required.

• Basic proficiency in word processing and Excel programs; software proficiency covering a variety of health care / clinical record applications. Super User for at least 1 year; with experience in develop reports with in the EMR.

Work Hours

We are seeking a full-time (36 hours/week) RN to work four days per week from 7:30am-5:00pm.

Job Summary

Responsible to serve the patients with in the Chronic Care Management Program. The RN will act as an extension of the primary care providers care plans, supporting patients in successful self-management of their chronic disease, optimizing health outcomes, and improving the overall patient experience. The goal of this program is to re-engage patients who have not actively been seeking care, or whom have not actively been focusing on managing their chronic disease. Performs and educates staff on a variety of direct patient care duties in compliance with physicians' orders and appropriate protocol with in the Chronic Care Program. Performs a variety of indirect patient care duties under the supervision of the Director of Clinic Nursing and Quality. Reviews and prepares clinical records prior to clinic dates to ensure physicians' notes and corresponding reports are available for the reference by the specialist.

Essential Job Functions and Responsibilities

This list of duties and responsibilities is not all inclusive and may be expanded to include other duties and responsibilities as management may deem necessary from time to time.

1. Performs patient screening assessment and provides nursing care in the clinic or procedure room as appropriate including interviewing the patient to obtain their medical history and chief complaint, performing medication reconciliation and obtaining patients' vitals.

2. Develop and maintain care plans with patients in collaboration with PCP, pharmacy, and other key team members.

3. Prepares the patient for exams and/or procedures, provides patient education related to planned procedures, and ensures necessary consents are obtained.

4. Performs diagnostic testing, such inhaler in-check testing.

5. Makes contacts to appropriate care areas to schedule patients for follow-up tests and/or procedures.

6. Performs routine maintenance and cleaning of clinic equipment as appropriate.

7. Transfers patients between bed, chairs, and transfer devices.

8. Positions patient/equipment, monitor vitals, change linens as needed.

9. Performs all required paperwork and communicates with patient care team members, patients, and families.

10. Operates computer and communication devices.

11. Prepares/sets up or remove ancillary equipment and retrieves or stores supplies as indicated.

12. Provides patient care in urgent/emergent situations.

13. Performs CPR on patients during code before arrival of additional team members.

14. Provides education to clinical staff and providers on how to improve chronic care patients and outcomes within their practice on a routine basis.

15. Collaborates on a routine basis with other entities involved with Chronic Care Management, such as pharmacy, diabetes education, respiratory therapy, care coordinator at hospital, etc.

16. Collaborates with Director of Clinic Nursing on quality initiatives and assists in achieving goals with providers’ guidance.

17. Adheres to Southwest Health’s value-based behavior standards.

18. Understands and adheres to Southwest Health compliance and HIPAA standards as they appear in the Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy.

19. Performs other duties and responsibilities as requested or required.

Contact Information

Southwest Health

Attn: Human Resources

1400 Eastside Rd

Platteville, WI 53818

Phone: View phone number on click.appcast.io

Email: View email address on click.appcast.io

Fax: View phone number on click.appcast.io

We believe that together we can change lives, and we anticipate your life will change in the process. If you aspire to help others find hope and live better, we invite you to submit your application below.

Benefits

Southwest Health is truly an outstanding place to work. A full benefit package is available for employees working 20 hours/week or greater which includes: Health, Dental, Vision and Life insurance. Also available are long and short term disability, cell phone discount, flexible spending plan, paid time off, retirement plan with an employer contribution, fitness membership discount as well as use of exercise equipment at the facility.

Primary Contact

13894

Miranda Koch

HR Generalist, Human Resources

View phone number on click.appcast.io

Phone

Phone

Phone

Fax

View email address on click.appcast.io

Email

True

False

True

Job Details

Location

Platteville, WI

Shift

First Shift

Job Type

Employee

Full/Part

Full Time

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Retirement Plan

PTO (Paid Time Off)

Qualifications

Education

Associates

Experience

1-2 Years

Company ID

1250

Job REQ #

# Positions

1

Start Date

20260504

End Date

20270131

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Southwest Health

About the Company

Southwest Health is a non-profit healthcare system offering southwest Wisconsin a range of services within our various facilities. Our locations include a hospital and clinic in Platteville, Southwest Health Behavioral Services, a clinic, Eye Center, and rehab services facility in Cuba City, Darlington, and Kieler Wisconsin.

We are a model healthcare organization that provides the highest quality at the lowest possible cost to create healthier communities. The Joint Commission has awarded Southwest Health a full accreditation as a Health Care Organization because we strive to provide the best care possible and prove it by meeting the Joint Commissions' standards for high-quality care. Southwest Health has been named a Human Experience (HX) Guardian of Excellence Award® winner by Press Ganey, the global leader in healthcare experience solutions and services. These awards and the awards won in the past, speak to the commitment Southwest Health has for safety, patient experience, and creating a healthier southwest Wisconsin. This accreditation marks Southwest Health' fourth consecutive year of receiving the Guardian Excellence award for inpatient Patient Experience.

Southwest Health features four family medicine clinics, four Eye Center locations, Birth Center, a specialty services with cardiology, ENT, and Interventional Pain, a state-of-the-art Orthopedic Institute housing physical, occupational, and speech therapies, and 24-hour emergency services, to name just a few.